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NPI Code Detail

MEDICARE: MRS. CAROLINE YACOUB PHARMD

MEDICARE:  MRS. CAROLINE  YACOUB  PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist28RI03265600NJ

General Provider Information

NPI Number : 1861707713
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAROLINE YACOUB PHARMD
Provider Business Mailing Address
First Line : 2859 JOHN F KENNEDY BLVD
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07306-3901
Country : US
Telephone Number : 201-433-2826
Fax Number : 201-433-6257
Provider Business Practice Location Address
First Line : 2859 JOHN F KENNEDY BLVD
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07306-3901
Country : US
Telephone Number : 201-433-2826
Fax Number : 201-433-6257
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2010
Last Update Date : 08/16/2010

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Directions to “ MRS. CAROLINE YACOUB PHARMD” Practice Location

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